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JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER

Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur  |  Mobile: 01314868020
Money Receipt
Patient Name: Azad khan
Age / Gender: 54 Yrs / Male
Mobile: 01712805804
Address: baipas
Invoice No: LAB-2026-0159
Billing Date: 10-08-2026 11:39 AM
Patient Type: Outdoor
Ref. Doctor: Self
Ref. Patient: md
SL Test Name Price (BDT)
1 LT Foot B/V 1,200.00
Subtotal: 1,200.00 BDT
Discount: - 0.00 BDT
Grand Total: 1,200.00 BDT
Money Received (Paid): 0.00 BDT
JAMALPUR DOCTOR HOSPITAL • DIAGNOSTIC CENTER •
PAID
Patient / Guardian Signature
Authorized Signature
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